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Since the fall of the Soviet Union, the Government of Georgia has been struggling to provide healthcare services to a population experiencing a deterioration in health status, while at the same time restructuring and reforming the delivery, priorities, resource allocation, and overall focus of this healthcare system. International humanitarian and development organisations in Georgia can exploit this historic opportunity by serving as facilitators and mentors in stimulating a process of positive social change within this reform dynamic. But this process will require strategies and tactics that are broadly inclusive of internal actors and stakeholders, and that can be put into practice by using a range of participatory approaches.

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